Children at a club meeting in Thahuri Tole. These child clubs, supported by the government, Save the Children and their local partner NGO Safer Society, advocate for child rights, and use peer support and education to try to end child marriages and raise family-planning awareness.

Manisha Sunar (left), 18, carries her two-year-old son, as her husband's niece, Pramila Bhujel, 13, stands next to her in Lekhapharsa vilage, Western Nepal. Manisha was married off when she was 14, but secretly used contraceptives with the help of her husband's sister. When he found out, he forced her to stop, and she was soon pregnant, with no money to terminate it. She is now 8 months pregnant again.

Nisha Darlami, 19, carries her one-month-old baby girl, Bushpa, as she sits in her mother's house in Kalyan Village. Nisha eloped with her step-nephew when she was 13, but the couple used contraceptives for the next six years to delay pregnancy until she turned 18.

Rana Bahadur Magar (left), 24, attends to a customer in his pharmacy, which he bought two years ago, in Gangate Village. Every month, Rana Bahadur Magar sells more than 300 condoms and 1,700 birth control pills, and does about 10 injections of three-month-long contraceptives. The nearest district hospital is an hour's drive away.

Female community health workers attend a class in the Bardiya district hospital. Save the Children works with the district health office to educate the workers who are on the frontline of health service provision.

Pramila Tharu, 15, sits in her home as she cradles her two-year-old toddler, Prapti, in Bhaishahi village. Pramila eloped and married at 12, and gave birth to Prapti at age 13. She delivered prematurely on the way to the hospital in an ox cart and her baby weighed only 1.5kg at birth.

Sita Tharu (centre, in turquoise), 14, is six months pregnant. Here she is pictured with other child mothers and child brides, waiting to see Pahari Tharu, 52, a female community health worker in Bhaishahi village. Sita eloped and married last year, at age 13.

Tulasa Khadka, 14, who gave birth to a stillborn baby weighing less than 1kg a week ago, rests at home in the remote village of Dungi Khola. Tulasa eloped a year ago and didn't use contraceptives. She went into labour while walking through the hills to the nearest hospital for a checkup.